Your Treatment Program at Carolina Radiation Medicine
Cancer Treatment Center -- Page 2
The
medical physicist and radiation oncologist meet frequently to review
3-dimensional computer reconstructions of CT scans which are specifically
obtained for the purpose of establishing the most sophisticated method
available for ensuring that a patient's tumor is accurately targeted
by the radiation beam.

3-dimensional
reconstructions of the CT images of a patient undergoing planning for
treatment of prostate cancer. The sophisticated computerized treatment
planning system allows for the patient's anatomy and the tumor to be
viewed from ANY direction. The direction of the cancer curing radiation
beam can, therefore, be accurately directed to ensure that normal structures
can be excluded from the radiation beam, while allowing for higher doses
of radiation being delivered to the cancer.
The medical physicist completes the 3-dimensional treatment
plan, after having reviewed the information with the radiation oncologist.
This may require several hours of work in the most highly complex situations.
After all medical information has been reviewed, and the computer
plan completed, the "simulation" procedure is performed. This
is essentially "a dry run" during which the specific angles
needed to deliver the radiation safely, and accurate localization of
the tumor (target) is accomplished.
At
the time of simulation the radiation oncologist carefully reviews the
computerized treatment plan, X-rays, CT scans and MRI scans, and designs
complex shielding blocks which are fabricated for every patient. These
"custom blocks" are used only for that specific patient's
radiation treatment.

The actual radiation treatment is delivered by one of
the most technologically advanced pieces of equipment available anywhere
in the world. This linear accelerator is capable of producing multiple
types of radiation beams. Each type of beam has different applications
depending upon the location of the tumor in the patient. The treatment
is painless, and is accomplished in only a few minutes.

A
certified radiation therapist (RTT) loads the computerized treatment
data planned by the radiation oncologist and physicist into the computer
which controls the linear accelerator. The computer system both "records
and verifies" the entire treatment. If ALL of the treatment set
up parameters are not correctly established, the computer will now allow
the radiation beam to be delivered. This safety feature is only one
of the quality assurance features utilized at the center. At all times
the individual is directly monitored and observed by the RTT who utilizes
multiple video and audio monitors.
The radiation oncologist will examine and review your
case at appropriate intervals after your treatments are completed. Periodically,
specific blood tests, X-rays and CT or MRI scans will be obtained to
evaluate each patient. The specific tests and frequency of visits depend
upon each individual's situation.
In most cases the goal of the
radiation therapy is to cure you of your cancer. In some situations
the goal is to relieve specific troublesome symptoms, which may be caused
by a particular tumor. In all situations, however, the commitment of
the radiation oncologist, and the entire staff at Carolina Radiation
Medicine's Cancer Treatment Center is to give each and every patient
the individual attention and support that is so important and necessary.
What may be considered unconventional
weapons in the war against cancer in many settings, is simply conventional
at the Carolina Radiation Medicine Cancer Treatment Center.
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